Document Detail


Correction of blepharophimosis with silicone implant suspensor.
MedLine Citation:
PMID:  16641709     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
BACKGROUND: Blepharophimosis is a rare autosomal-dominant syndrome involving the periorbital region. It is characterized mainly by eyelid ptosis, palpebral phimosis, telecanthus, and epicanthus inversus.
METHODS: Ten patients ranging in age from 2 to 22 years who presented with blepharophimosis were retrospectively studied over the past 14 years; they had an average follow-up of 7 years and 5 months. They were treated at the Division of Plastic Surgery of the Faculty of Medicine, University of São Paulo. Eight patients presented with the complete form, including epicanthus, telecanthus, and severe palpebral ptosis, and two presented with the incomplete form. The epicanthi and telecanthi were corrected with Mustardé's technique, and the ptosis was treated by frontalis suspension with a soft, preformed silicone device called the silicone implant suspensor.
RESULTS: The results were classified as good, fair, and poor, according to the postoperative position of the upper eyelid in relation to the scleral limbus, medial canthus position, and residual epicanthal fold. The results were assessed as good in seven cases and fair in three.
CONCLUSIONS: The silicone eyelid suspensor was effective in improving the patients' difficult condition. It was a better alternative than the use of fascia lata, because it permitted an easier readjustment of the eyelid margin and it offered the possibility of creating a well-defined palpebral fold, which is usually absent in this group. The results were maintained with long-term follow-up. The silicone suspensor was safe and long-term results were good in both children and adults.
Authors:
Henri Friedhofer; Marcelus V A S Nigro; Aylton Cheroto Filho; Marcus Castro Ferreira
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Plastic and reconstructive surgery     Volume:  117     ISSN:  1529-4242     ISO Abbreviation:  Plast. Reconstr. Surg.     Publication Date:  2006 Apr 
Date Detail:
Created Date:  2006-04-27     Completed Date:  2006-05-23     Revised Date:  2011-02-16    
Medline Journal Info:
Nlm Unique ID:  1306050     Medline TA:  Plast Reconstr Surg     Country:  United States    
Other Details:
Languages:  eng     Pagination:  1428-34     Citation Subset:  AIM; IM    
Affiliation:
Division of Plastic Surgery, Faculty of Medicine of São Paulo Hospital das Clínicas, São Paulo, Brazil. henrifri@uol.com.br
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MeSH Terms
Descriptor/Qualifier:
Adolescent
Adult
Blepharophimosis / surgery*
Child
Child, Preschool
Eyelids / surgery*
Female
Humans
Male
Ophthalmologic Surgical Procedures / methods*
Prostheses and Implants
Retrospective Studies
Silicones
Treatment Outcome
Chemical
Reg. No./Substance:
0/Silicones
Comments/Corrections
Comment In:
Plast Reconstr Surg. 2007 Mar;119(3):1120-1; author reply 1122   [PMID:  17312535 ]

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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